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IPACH T E # 10Harnett County Department of Public Health ImDrovement Permit 26371 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Pd~acaF,cLC\5~ Ps ISSUED TO: _ C-J M \o "e.5 SUBDIVISION Goy st P S LOT # L NEW'K REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `>'FO ~r-B n 6~ Proposed Wastewater System Type: J),Zgogr,ay" --JisTE m Projected Daily Flow: ® GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes '2~ No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well Y©d feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: \~\30116 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance f~ther permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization Required for Building Permit The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .195 with the attached system layout. ISSUED TO: Crv c ~ ~ o ~a r~Ne:-5 Facility Type: X New Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater System" `-S"° Gov c;,%-\ 0-1-f (See note below, if applicable 1, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance PROPERTY LOCATION: 90 Ns-)ta~S A SUBDIVISION c~<aoa-.>v-ps S s6Ns LOT # ❑ Expansion ❑ Repair ,KNo (Initial) Wastewater Flow: Li %Q GPD '1-S 70 9s--o v C,< No 4,) (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size o eo 6 gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench 80 Trenches shall be installed on contour at a Maximum Trench Depth of: 1" "f ~ (Trench bottoms shall be level to +/-1/4" in all directions) GPM feet Trench Spacing: Feet on Center Soil Cover: G inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /understand the system type specified is different from the type speciped on the app/ication. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, lat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is su~<cteo compliance vritsthe jis oft aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: \1 30 1a Cons 'on Authorization Expiration Date: ti~ ? HTE# tC -5 Permit # ~-D I Harnett County Department of N blic Health Site Sketch PROPERTY LOCATON: ?0 ~ro62 p~4~ 4 ISSUED T0: SUBDIVISION C-past-NVPs ~Gs~saNs LOT # Authorized State Agent: \iY~(nt~ fez 'coLxs~S~> Date: 1 ~d' \ ip4 r SM%M C v'1-0-qpU 061„_ Department of Envimnmeny Health and Nahum Resources Sheet: Division of Environmental Health property ID: On-Site Wastewater Section Lot SOIIJSI'TE EVALUATION File for ON-SITE WA8TICWATER8Y8TL% Coda: Owner Applicant; Address: Date Evaluated: OJ,4 0 Proposed Facility: `)2~-9q(:On Design Flow (,1949): Lq 0 ,,0 Property Size: 1 Locatiozi of Site: Ptopertlr Recorded: Watft Supply: Publlo ❑ hldividual ❑ Well ❑ Spring ❑ Other Evaluadon Method; Auger Boring ❑ Pit Cut Type of Wastewater S . ewage ❑ Industrial Process Mixe r() P it O F SO MORPHOL00Y l A .1940 1941 L Candarap~ Horizon PR OFILE FACTO RS E Poaidad DV* 1941 .1941 % b 91op~ (la) struchow Corwolam .1942 sail wafaead .1.943 .1916 1944 Pbotllo Teadten Mtnaralo Cola soil QY. 32pre Clew Re* Howis. CAN A LTAR . 5 UqF(~ eaJT,P S Daacripdon tnitlal Repair 3 etm s y War Factors J 946) 3 n AvaiL61®9 ace .1.94j site Choi cadoa (,1948) 5 3 *m Evaluated By: ' Sift LTAlt Others J'rexnt: ~ 10 c x ' 36'